Graduated: 2021
NPI: 1689056996
Practice Locations (2)
CHEROKEE NATION
100 S BLISS AVE
TAHLEQUAH, OK 744642512
9184583100
NORTHEASTERN HEALTH SYSTEM
1400 E DOWNING ST
TAHLEQUAH, OK 744643324
9184560641
Source: CMS National Downloadable File, September 2026.